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    A comparison of the intensive care experiences of emergency and elective cardiac surgery patients
    (Wolters Kluwer Medknow Publications, 2016) Göktaş, Sonay Baltacı; Yıldız, T.; Nargiz, Sibel Kosucu; Gür, Özcan
    Purpose: The study was planned to review the experiences of patients in the intensive care units (ICUs) and determine their states of awareness following an emergency or elective cardiac surgery. Materials and Methods: This was a multicenter and descriptive study. Approval was granted by the Institutional Ethics Committee and informed consent for participation in the study was obtained from all the patients. The study included a total of 300 patients who underwent emergency or elective cardiovascular surgery and were then transferred to the ICU. Data were gathered from the demographic data form and the intensive care experience scale, which was developed by the researchers and applied through face-to-face interviews with the patients. The independent-samples t-test, MannuWhitney U (Exact) test, one-way ANOVA (Robust Test: BrownuForsythe), and multivariate analysis of variance were used in the analysis of the data. Results: The study included 300 patients, comprising 108 (36%) females and 192 (64%) males. No difference was found between the groups in respect of total intensive care points of emergency (57.9 4.92) and elective (56.6 4.58) operations (P = 0.32). The environmental awareness level and patient satisfaction of the elective group were seen to be higher, and the emergency group reported more bad experiences. Patients who had undergone emergency cardiac valve surgery were more satisfied (P 0.001) and remembered more (P = 0.001). Conclusion: Patients who had undergone urgent and elective cardiac surgery were seen to have had a relatively negative intensive care experience. When there was more environment awareness in patients with ICU experience, it was determined that as the duration of stay in the ICU lengthens out, the pessimistic experiences increased and ICU satisfaction decreases.
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    The Evaluation of Nursing Care Satisfaction and Patient Learning Needs in day Case Surgery
    (Springer India, 2015) Göktaş, Sonay Baltacı; Yıldız, Tülin; Nargiz, Sibel Kosucu
    Patients in surgical service units have higher expectations for treatment and care. The aims of this study were to determine nursing care satisfaction and information requirements at the time of discharge of patients from a day surgery unit and to assess the effects of demographics. The study was conducted on 291 patients undergoing day case surgery. Patient perception scale for nursing care (PPSN) and the patient learning needs scale (PLNS) were used and total and sub-dimension points averages were calculated and then compared with demographic data using the Kruskal-Wallis test. The results were evaluated at the p< 0.05 significance level with 95 % confidence intervals. Of the patients, 58.8 % (n= 171) were females and the average age was 49.5 +/- 15.3 years. PPSN and PLNS total point averages were 68.16 +/- 10.17 and 178.53 +/- 27.59, respectively. A significant difference was determined in PPSN total point average with regard to previous hospitalisations; the PPSN total point average was higher for patients with prior hospitalisations (p< 0.001). Significant differences were determined between PLNS total point average and age group, marital status, receiving discharge training, and education level (p= 0.008, 0.006, < 0.001, and 0.015, respectively). Differences were found in the PLNS sub-dimension point averages between groups, especially with regard to age group and educational level. We showed that patient satisfaction and patient information requirements could change according to demographic features of the patients at a day case surgery unit. In this respect, healthcare providers should offer healthcare services by evaluating the personal characteristics of patients because this is important for their satisfaction.